JEAN WANAMAKER

BAY SHORE, NY
NPI1972521094
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  008922)
Enumeration Date2006-07-17
Last Update Date2007-10-09
Business Address
Ms. JEAN WANAMAKER PA
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
Mailing Address
Ms. JEAN WANAMAKER PA
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
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